Mid Revenue Cycle Coding Educator Senior
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.
About the role
The MID REVENUE CYCLE CODING EDUCATOR SR serves as the subject matter expert and educational resource for any medical record coding and patient charge related issues. This position provides education and training to clinical providers, nurses, Revenue Integrity (RI), and Health Information Management (HIM) staff.
Responsibilities
- Design, create, and implement educational and training curriculum to initiate new processes resulting from initiatives, coding-related projects, and general coding-related matters driven by business needs.
- Create the audit and quality reviews schedule for the fiscal year, including a contingency plan for unexpected reviews and business priorities driven by external matters.
- Review and communicate CMS changes and their impact to RI and HIM operations.
- Conduct monthly audits and quality reviews for providers, nurses, and Revenue Integrity (RI) and Health Information Management (HIM) staff to identify compliance opportunities with clinical documentation, coding, and charging guidelines.
- Lead projects aimed at reviewing and improving the quality of clinical documentation in the patient record and final coding for both professional and technical billing, resulting in the creation of curriculum specific to clinical services and tailored to individual stakeholders.
- Review and approve the work completed by the Mid Revenue Cycle Coding Educators prior to distribution, implementation, and educational venue updates.
- Review and approve the education and training calendar to onboard RI and HIM new team members. Ensure sign-off of the education program as documentation for the new team member’s 90-day introductory period.
Requirements
- Bachelor's degree plus six (6) years of healthcare coding experience with ICD-10-CM, ICD-10-PCS, CPT, and HCPCS classification systems, inclusive of a minimum two (2) years of professional practice medical coding auditing experience or facility Outpatient coding auditing experience.
- An Associate's degree and an additional two (2) years of experience as stated above (for a total of 8 years' experience) may be considered.
- A High School Diploma/GED and ten (10) years of experience as stated above may be considered.
Qualifications
- One of the following certifications is required:
- Certified Coding Specialist (CCS)
- Professional Certified Medical Auditor (CPMA)
- Certified Professional Coder (CPC)
- Certified Outpatient Coding (COC)
- Certified Coding Specialist-Physician (CCS-P)
- Registered Health Information Technician (RHIT)
- Registered Health Information Administrator (RHIA)
- Certified Inpatient Coder (CIC)
Skills
- Expertise in:
- International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)
- International Classification, Tenth Revision, Procedure Coding System (ICD-10-PCS)
- Current Procedural Terminology (CPT)
- Healthcare Common Procedure Coding System (HCPCS)
- American Hospital Association (AHA) coding clinic guidelines
- Medicare Severity Diagnosis Related Groupers (MSDRG)
- All Patient Refined Diagnosis Related Groupers (APRDRG)
- Center for Medicare & Medicaid Services (CMS) guidelines
- National Center for Healthcare Statistics (NCHS)
- Radiation Oncology Coding Guidance (Coding Strategies, ASTRO, ACRO)
- American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) code of ethics
- Ability to communicate professionally with internal and external customers.
- Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
- Excellent communication and interpersonal skills.
- Experience with automated patient care and coding systems (Cerner Electronic Health Record, Cerner products Radnet, Surginet, OPTUM Professional Computer Assisted Coding (pCAC), Patient Keeper, 3M encoder, Mosaiq, Soarian financial billing system preferred).
- Competence with MS Office software (Word, Excel, PowerPoint, OneNote, and Outlook).
- Experience with coding oncology-related services.
- Experience conducting training through Zoom.
Preferred Experience
- Four years' experience with coding oncology-related services.
Pay
Salary Range: $77,022.40 - $117,582.40. Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among team members in similar positions.